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Audit of knee injuries seen in a sports medicine clinic.

Packer, G J; McLatchie, G R; Bowden, W; Lennox, C M
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/1993 Português
Relevância na Pesquisa
46.41%
In order to assess the management of knee injuries in a sports medicine clinic, an audit was performed of all new patients who attended the clinic over a 12-month period. Of the 167 new patients seen, 76 (46%) had sustained knee injuries. Of these, 43 (57%) were treated in the sports medicine clinic and 33 (43%) were referred for arthroscopic assessment. The maximum waiting time from the time of referral was 3 weeks, with 85% of patients seen within 1 week and 92% within 2 weeks. Arthroscopy was performed on 28 (85%) of the 33 patients referred, and the positive correlation between the sports clinic diagnosis and the arthroscopic diagnosis was 64%. Of the 33 patients referred for arthroscopy, 28 (85%) had sustained acute knee injuries while five (15%) had been treated at other hospitals before referral to the sports medicine clinic. A National Health Service sports medicine clinic is an effective means of treating knee injuries, provided that access to arthroscopy is readily available.

A review of the British Journal of Sports Medicine 1991-5.

Thompson, B
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1996 Português
Relevância na Pesquisa
46.32%
OBJECTIVE: To review 5 years of the British Journal of Sports Medicine (BJSM) to assess the nature of articles published, look at which specialities and nationalities were contributing most frequently, and analyse the numbers of subjects involved in the studies. METHODS: Data were collated from all original papers, review articles, and case reports from March 1991 to December 1995. RESULTS: Authors from 35 different countries contributed a total of 282 papers in the 5 year period, with medical authors (118) predominating. They covered a wide range of subjects in all aspects of sports medicine. There were few randomised controlled studies (9). CONCLUSIONS: The BJSM has wide international input which covers all aspects of sports medicine. A greater number of large randomised controlled studies would, however, provide a firmer statistical basis for future research and injury management. There is also scope for development of the BJSM especially in the areas of education, innovations, and the practical applications of research.

Assessing agreement between measurements recorded on a ratio scale in sports medicine and sports science.

Nevill, A M; Atkinson, G
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1997 Português
Relevância na Pesquisa
46.35%
OBJECTIVE: The consensus of opinion suggests that when assessing measurement agreement, the most appropriate statistic to report is the "95% limits of agreement". The precise form that this interval takes depends on whether a positive relation exists between the differences in measurement methods (errors) and the size of the measurements--that is, heteroscedastic errors. If a positive and significant relation exists, the recommended procedure is to report "the ratio limits of agreement" using log transformed measurements. This study assessed the prevalence of heteroscedastic errors when investigating measurement agreement of variables recorded on a ratio scale in sports medicine and sports science. METHODS: Measurement agreement (or repeatability) was assessed in 13 studies (providing 23 examples) conducted in the Centre for Sport and Exercise Sciences at Liverpool John Moores University over the past five years. RESULTS: The correlation between the absolute differences and the mean was positive in all 23 examples (median r = 0.37), eight being significant (P < 0.05). In 21 of 23 examples analysed, the correlation was greater than the equivalent correlation using log transformed measurements (median r = 0.01). Based on a simple meta-analysis...

Society of Apothecaries diploma in sports medicine.

Gibberd, F B
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/1992 Português
Relevância na Pesquisa
46.32%
The Society of Apothecaries examination in Sports Medicine consists of four parts: a multiple-choice question paper; a written paper; a clinical section; and an oral section. The candidates must have experience in sports medicine and have to submit a dissertation and a case history book. The importance of an examination in sports medicine is discussed.

The dimensions of sports medicine

Shephard, Roy J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 18/05/1974 Português
Relevância na Pesquisa
46.32%
The history of sports medicine is reviewed in terms of European, United States and Canadian traditions. An orientation towards treatment, particularly the treatment of injuries in elite athletes, is noted. Encouragement is found in the trend to discussion between the several Canadian groups interested in sports medicine. It is suggested that in the leisured society of the future, sports medicine will form an increasing part of family practice. It is to be hoped that emphasis will be placed on a broad-based approach to prevention of accidents and disease, coupled with the effective promotion of positive health measures, particularly increased physical activity.

The Development of Sports Medicine in Nova Scotia

Stanish, William
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /05/1977 Português
Relevância na Pesquisa
46.32%
Doctors in Nova Scotia, as in most provinces in Canada, are facing the unique problems related to the injured athlete. With the development of Sport Nova Scotia, combined with the efforts of the Canadian Academy of Sports Medicine, sports medicine is rapidly moving to a more scientific platform. The Nova Scotia Sports Medicine Clinic, we hope, will provide the area for a multidisciplined approach to problems of the athlete and will function as an educational resource for doctors and paramedical personnel throughout the province.

Administrative issues in the management of a sports medicine program.

Rowe, D. S.; Fox, K. P.
Fonte: Yale Journal of Biology and Medicine Publicador: Yale Journal of Biology and Medicine
Tipo: Artigo de Revista Científica
Publicado em //1980 Português
Relevância na Pesquisa
56.38%
Sports medicine is a subspecialty of medicine which has recently gained prominence in this country. It is usually practiced in conjunction with a specific program of sports medicine in an institutional setting, such as a university. This article describes the integration of sports medicine and the department of athletics at Yale University. The athletic medicine department, as it is called, treats both the injuries and other medical problems of students participating in the organized athletic programs, be they intercollegiate or intramural, which are organized by the University. Problems that arise both medically, such as when to play an injured player, and administratively, such as who should supervise trainers, are discussed. Guidelines are given for choosing the director of this program, as are examples of how to deal with problems between the physicians and the coaches.

The role of orthopaedic surgery in sports medicine.

Ogden, J. A.
Fonte: Yale Journal of Biology and Medicine Publicador: Yale Journal of Biology and Medicine
Tipo: Artigo de Revista Científica
Publicado em //1980 Português
Relevância na Pesquisa
56.28%
Orthopaedic surgery must play a significant role in the development of sports medicine as a viable academic discipline. Potential areas in which orthopaedic surgery can specifically contribute to such an evolution are discussed. Particular areas include skeletal development, the role of athletics on skeletal growth and trauma response, the mechanics of specific sports and the predisposition of specific sports to certain injury patterns, the role of muscle physiology and muscle stimulation in rehabilitation, and differing responses of the male and female skeletal system. Each of these areas is discussed in detail.

Systematic Review of Efficacy for Manual Lymphatic Drainage Techniques in Sports Medicine and Rehabilitation: An Evidence-Based Practice Approach

Vairo, Giampietro L; Miller, Sayers John; McBrier, Nicole M; Buckley, William E
Fonte: Journal of Manual & Manipulative Therapy, Inc. Publicador: Journal of Manual & Manipulative Therapy, Inc.
Tipo: Artigo de Revista Científica
Publicado em //2009 Português
Relevância na Pesquisa
46.32%
Manual therapists question integrating manual lymphatic drainage techniques (MLDTs) into conventional treatments for athletic injuries due to the scarcity of literature concerning musculoskeletal applications and established orthopaedic clinical practice guidelines. The purpose of this systematic review is to provide manual therapy clinicians with pertinent information regarding progression of MLDTs as well as to critique the evidence for efficacy of this method in sports medicine. We surveyed English-language publications from 1998 to 2008 by searching PubMed, PEDro, CINAHL, the Cochrane Library, and SPORTDiscus databases using the terms lymphatic system, lymph drainage, lymphatic therapy, manual lymph drainage, and lymphatic pump techniques. We selected articles investigating the effects of MLDTs on orthopaedic and athletic injury outcomes. Nine articles met inclusion criteria, of which 3 were randomized controlled trials (RCTs). We evaluated the 3 RCTs using a validity score (PEDro scale). Due to differences in experimental design, data could not be collapsed for meta-analysis. Animal model experiments reinforce theoretical principles for application of MLDTs. When combined with concomitant musculoskeletal therapy, pilot and case studies demonstrate MLDT effectiveness. The best evidence suggests that efficacy of MLDT in sports medicine and rehabilitation is specific to resolution of enzyme serum levels associated with acute skeletal muscle cell damage as well as reduction of edema following acute ankle joint sprain and radial wrist fracture. Currently...

MEDICAL SPORTS INJURIES IN THE YOUTH ATHLETE: EMERGENCY MANAGEMENT

Merkel, Donna L.; Molony Jr, Joseph T.
Fonte: Sports Physical Therapy Section Publicador: Sports Physical Therapy Section
Tipo: Artigo de Revista Científica
Publicado em /04/2012 Português
Relevância na Pesquisa
46.41%
As the number of youth sports participants continues to rise over the past decade, so too have sports related injuries and emergency department visits. With low levels of oversight and regulation observed in youth sports, the responsibility for safety education of coaches, parents, law makers, organizations and institutions falls largely on the sports medicine practitioner. The highly publicized catastrophic events of concussion, sudden cardiac death, and heat related illness have moved these topics to the forefront of sports medicine discussions. Updated guidelines for concussion in youth athletes call for a more conservative approach to management in both the acute and return to sport phases. Athletes younger than eighteen suspected of having a concussion are no longer allowed to return to play on the same day. Reducing the risk of sudden cardiac death in the young athlete is a multi‐factorial process encompassing pre‐participation screenings, proper use of safety equipment, proper rules and regulations, and immediate access to Automated External Defibrillators (AED) as corner stones. Susceptibility to heat related illness for youth athletes is no longer viewed as rooted in physiologic variations from adults, but instead, as the result of various situations and conditions in which participation takes place. Hydration before...

Sports Medicine for Emergency Medicine Physicians, Too Few to Maintain the Fellowship in Emergency Medicine

Delasobera, Bronson E.; Davenport, Moira; Milzman, Dave
Fonte: Department of Emergency Medicine, University of California, Irvine Publicador: Department of Emergency Medicine, University of California, Irvine
Tipo: Artigo de Revista Científica
Publicado em /09/2012 Português
Relevância na Pesquisa
56.2%

Ethical Issues in Sports Medicine: A Review and Justification for Ethical Decision Making and Reasoning

Greenfield, Bruce H.; West, Charles Robert
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
Publicado em /11/2012 Português
Relevância na Pesquisa
56.29%
Ethical issues present a challenge for health care professionals working with athletes of sports teams. Health care professionals—including the team physician, the physical therapist, and the athletic trainer—are faced with the challenge of returning an athlete to competition as quickly as possible but as safely as possible. Conflicts of interest arise due to conflicting obligations of the team physician to the athlete and other members of the sports organization, including coaches and the team owner. The multiple stakeholders involved in sports teams challenge the traditional notion of confidentiality and autonomy. The aims of this article are to explicate the ethics of sports medicine, highlight the ethical issues, and provide some strategies and suggestions for ethical decision making.

Physical activity counselling in sports medicine: a call to action

Joy, Elizabeth (Liz); Blair, Steven N; McBride, Patrick; Sallis, Robert
Fonte: BMJ Publishing Group Publicador: BMJ Publishing Group
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.32%
Physical activity (PA) is a key component of healthy lifestyle and disease prevention. In contrast, physical inactivity accounts for a significant proportion of premature deaths worldwide. Physicians are in a critical position to help patients develop healthy lifestyles by actively counseling on PA. Sports medicine physicians, with their focus on sports and exercise medicine are uniquely trained to provide such expertise to patients, learners and colleagues. To succeed, physicians need clinical tools and processes that support PA assessment and counseling. Linking patients to community resources, and specifically to health and fitness professionals is a key strategy. Efforts should be made to expand provider education during medical school, residency and fellowship training, and continuing medical education. Lastly, physically active physicians are more likely to counsel patients to be active. A key message for the sports medicine community is the importance of serving as a positive PA role model.

The role of veterinarians in equestrian sport: A comparative review of ethical issues surrounding human and equine sports medicine☆

Campbell, Madeleine L.H.
Fonte: Balliere Tindall Publicador: Balliere Tindall
Tipo: Artigo de Revista Científica
Publicado em /09/2013 Português
Relevância na Pesquisa
46.32%
Veterinarians have a key role in providing medical care for sports horses during and between competitions, but the standard client:veterinarian relationship that exists in companion and production animal medicine is distorted by the involvement of third parties in sports medicine, resulting in distinct ethical dilemmas which warrant focused academic attention. By comparing the existing literature on human sports medicine, this article reviews the ethical dilemmas which face veterinarians treating equine athletes, and the role of regulators in contributing to or resolving those dilemmas.

Bilateral Simultaneous Anterior Cruciate Ligament Injury: A Case Report and National Survey of Orthopedic Surgeon Management Preference

Saadat, Ehsan; Curry, Emily J.; Li, Xinning; Matzkin, Elizabeth G.
Fonte: PAGEPress Publications, Pavia, Italy Publicador: PAGEPress Publications, Pavia, Italy
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
46.39%
Unilateral anterior cruciate ligament (ACL) tear is a common injury seen by sports medicine orthopedic surgeons. However, a bilateral simultaneous ACL injury is extremely rare and has been reported only three times in the literature. We present a young female skier with simultaneous bilateral ACL tears that were managed with staged ACL reconstruction. We then conducted a nationwide survey (United States) to determine the prevalence of simultaneous bilateral ACL tear and preferred management strategies by sports medicine orthopedic surgeons. Sports medicine fellowship directors were contacted and asked to send an 8-item survey to colleagues (sports medicine fellowship trained surgeons) asking about overall number of ACL reconstructions performed, number of bilateral simultaneous ACL injuries seen and optimal management strategies of such an injury. Out of 43 responses, only 22 (51.2%) surgeons had seen a bilateral simultaneous ACL injury. Of these, 16 (76.2%) preferred staged reconstruction. Graft choice was mixed between autograft and allograft, but a large majority preferred either patellar tendon autograft (58%) or hamstring autograft (41%) were the most common choice. Staged reconstruction is the treatment of choice by surgeons surveyed in our study.

Actualities on Nuclear Medicine Applications in Sports Medicine

Fonseca, Abigaíl; Soares, Sofia; Cunha, Lídia; Metello, Luís F.
Fonte: Instituto Politécnico do Porto Publicador: Instituto Politécnico do Porto
Tipo: Aula
Publicado em 09/10/2010 Português
Relevância na Pesquisa
46.39%
Aims: This paper aims to address some of the main possible applications of actual Nuclear Medicine Imaging techniques and methodologies in the specific context of Sports Medicine, namely in two critical systems: musculoskeletal and cardiovascular. Discussion: At the musculoskeletal level, bone scintigraphy techniques proved to be a mean of diagnosis of functional orientation and high sensibility compared with other morphological imaging techniques in the detection and temporal evaluation of pathological situations, for instance allowing the acquisition of information of great relevance in athletes with stress fractures. On the other hand, infection/inflammation studies might be of an important added value to characterize specific situations, early diagnose of potential critical issues – so giving opportunity to precise, complete and fast solutions – while allowing the evaluation and eventual optimization of training programs. At cardiovascular system level, Nuclear Medicine had proved to be crucial in differential diagnosis between cardiac hypertrophy secondary to physical activity (the so called "athlete's heart") and hypertrophic cardiomyopathy, in the diagnosis and prognosis of changes in cardiac function in athletes, as well as in direct - and non-invasive - in vivo visualization of sympathetic cardiac innervation...

Sports medicine: some ethical issues.

Sim, J
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/1993 Português
Relevância na Pesquisa
46.39%
The ethical aspects of sports medicine have hitherto received little scrutiny, in contrast to its legal implications, which have recently been subject to much greater discussion. However, the differences that are apparent between sports medicine and 'mainstream' areas of clinical practice can shed new light on a number of the central issues within health-care ethics. By means of hypothetical case studies, this paper seeks to examine some of these issues within a sports medicine context. Specific attention will be paid to the concepts of autonomy and paternalism, issues to do with truthfulness, and the question of conflicting professional loyalties. It is suggested that the ethics of sports medicine warrant further and more detailed examination.

Sports medicine electives. Are they available in Canadian family medicine programs?

Wiley, J. P.; Strother, R. T.; Lockyer, J. M.
Fonte: College of Family Physicians of Canada Publicador: College of Family Physicians of Canada
Tipo: Artigo de Revista Científica
Publicado em /08/1993 Português
Relevância na Pesquisa
46.42%
Sports medicine is becoming a larger part of a family physicians' practice. We surveyed all family medicine teaching programs in Canada to determine how many offer sports medicine experiences and who teaches them. The study found that few residents have clinical training in sports medicine, though most have attended seminars. Primary care physicians, orthopedic surgeons, physiotherapists, and rheumatologists teach sports medicine.

Australian chiropractic sports medicine: half way there or living on a prayer?

Pollard, Henry; Hoskins, Wayne; McHardy, Andrew; Bonello, Rod; Garbutt, Peter; Swain, Mike; Dragasevic, George; Pribicevic, Mario; Vitiello, Andrew
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 19/09/2007 Português
Relevância na Pesquisa
46.43%
Sports chiropractic within Australia has a chequered historical background of unorthodox individualistic displays of egocentric treatment approaches that emphasise specific technique preference and individual prowess rather than standardised evidence based management. This situation has changed in recent years with the acceptance of many within sports chiropractic to operate under an evidence informed banner and to embrace a research culture. Despite recent developments within the sports chiropractic movement, the profession is still plagued by a minority of practitioners continuing to espouse certain marginal and outlandish technique systems that beleaguer the mainstream core of sports chiropractic as a cohesive and homogeneous group. Modern chiropractic management is frequently multimodal in nature and incorporates components of passive and active care. Such management typically incorporates spinal and peripheral manipulation, mobilisation, soft tissue techniques, rehabilitation and therapeutic exercises. Externally, sports chiropractic has faced hurdles too, with a lack of recognition and acceptance by organized and orthodox sports medical groups. Whilst some arguments against the inclusion of chiropractic may be legitimate due to its historical baggage...

Comparação entre os critérios do International Physical Activity Questionnaire e do American College of Sports Medicine/American Heart Association para a classificação do padrão de atividade física em adultos; Comparación entre los criterios del International Physical Activity Questionnaire y del American College of Sports Medicine/American Heart Association para evaluación del patrón de actividad física en adultos; Comparison between the International Physical Activity Questionnaire and the American College of Sports Medicine/American Heart Association criteria to classify the physical activity profile in adults

Moraes, Suzana Alves de; Suzuki, Claudio Shigueki; Freitas, Isabel Cristina Martins de
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf; application/pdf; application/pdf
Publicado em 01/07/2013 Português
Relevância na Pesquisa
46.52%
OBJETIVO: avaliar a reprodutibilidade entre os critérios para classificação do padrão de atividade física propostos pelo International Physical Activity Questionnaire e pelo American College of Sports Medicine/American Heart Association em população de adultos, residentes em Ribeirão Preto, SP. MÉTODOS: estudo transversal de base populacional, com amostra de 930 adultos de ambos os sexos. Para a avaliação da reprodutibilidade, empregou-se a estatística Kappa, estimada para estratos específicos de variáveis sociodemográficas. RESULTADOS: os coeficientes Kappa indicaram bom/ótimo acordo entre os dois critérios, em todos os estratos. Entretanto, prevalências de maior magnitude para a "prática suficiente" foram obtidas quando aplicados os critérios do American College of Sports Medicine/American Heart Association. CONCLUSÕES: embora as estimativas de acordo tenham indicado boa reprodutibilidade, os achados sugerem cautela ao se escolher o critério para a avaliação do padrão de atividade física, principalmente quando a caminhada é a principal modalidade de prática.; OBJETIVO: evaluar la reproducibilidad entre dos criterios de clasificación del patrón de actividad física recomendados por el International Physical Activity Questionnaire y el American College of Sports Medicine/American Heart Association en una población de adultos residentes en Ribeirão Preto...